The Effect of Virtual Reality on Rehabilitation Post Stroke Patients: An Integrative Review


Background:Post stroke patients need to be rehabilitated to improve their body functions to performed daily activity. Mostly conventional rehabilitative therapies were monotonous which may decrease patient’s motivation due to repetitive and simple movements. Virtual reality intervention as technology based therapy showing a promises approach that could be applied in stroke rehabilitation.

Objective:This literature review aimed to identify various virtual reality interventions and its effectiveness for rehabilitation stroke patients.

Methods: An integrative literature review was conducted to search the publication in the data base of Cumulative Index to Nursing and Allied Health Literature (CINAHL and Pubmed in period during 2009 to 2019. The inclusion criteria were randomized control trial, studies that used virtual reality in rehabilitation patients with stroke; free full text articles, and used English language. The exclusion criteria was pilot study. Finally a total of 13 relevant studies includedinanalysis.

Results: All of the articles were randomized control trials published in 2018 or later. The sample size were adults or elderly varied from 20-80 years old with stroke. The sample size varied from 20 to 121 respondents. Nintendo Wii was the mostcommonusedasVRintervention.

Conclusions:This review shows evidences that suggested the effectiveness of virtual reality intervention in rehabilitation patients with stroke. Most studies supportthe beneficial effects of VR on upper limb motor recovery. Other studies reported the improvement in balance, walking, lower extremity muscle activation, visual perception, brain activity and activity daily living in stroke patients.


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